- Guilt and shame focus
- CBT and mindfulness
- Career and coaching
About Keith
Dr. Keith Breiman is an LCSW with 42 years of clinical experience in New Jersey. He works with stress, anxiety, relationship concerns, self-esteem, career questions, coaching, and has an additional focus on guilt and shame and isolation or loneliness. He sees individual adults and draws on a long clinical career to help people sort through painful feelings and practical problems.
He uses a mix of approaches rather than one fixed method. Sessions are conversational and grounded in what the person brings that day. He listens for patterns in feelings and behavior, and then discusses simple, realistic steps to try between appointments.
His practice grew from early training in Gestalt therapy and later work with psychodynamic, cognitive behavioral, and mindfulness approaches. That variety informs how he notices emotions, thoughts, and recurring relationship patterns. He aims to help people understand how past experiences and present choices interact so problems feel more manageable.
In work on guilt and shame he helps people name the feeling, look at what it’s tied to, and consider practical responses. For relationship worries and career stress he combines reflection about underlying patterns with concrete behavior changes and experiments. He describes therapy as a collaborative effort to clarify what is getting in the way and to test small changes.
People who contact him should expect straightforward conversation, attention to how emotions show up in daily life, and specific suggestions to practice between sessions. He offers consultations and work that draw on decades of experience helping adults with emotional and life stressors.
Therapeutic approaches and online sessions
Dr. Breiman draws on client-centered methods and cognitive behavioral therapy in his work. Client-centered therapy focuses on listening closely to what the person says and responding in a way that clarifies feelings and priorities. It helps when someone needs to sort through confusing emotions or make decisions about relationships or work. Cognitive behavioral therapy looks at how thoughts and actions keep problems going and uses small experiments to try different responses. This approach is useful for lowering anxiety and testing new behaviors.Finding the best approach is part of the process. He will work collaboratively to decide whether conversational, thought-focused, or mindfulness-based techniques make the most sense for the person's goals. That decision is shaped by the client’s concerns, preferences, and what seems to help in early sessions.
The biography does not list specific session formats, so confirm current options before booking. Online sessions can make it easier to fit therapy into a busy schedule, shorten commute time, or allow for a quicker check-in during a workday. They also allow trying techniques in everyday settings and make it possible to continue work when travel or distance would otherwise interrupt it.
Areas of expertise
Primary focus
Additional focus areas
Therapeutic approaches
Experience
42+ years
Listed in
New York, New Jersey
Languages
English
Frequently asked questions
What kinds of concerns does he help with?
He works with stress, anxiety, relationship issues, self-esteem, career matters, coaching, and has a particular focus on guilt and shame and isolation or loneliness.
How would he approach feelings of shame or guilt?
He helps people name the feeling, examine what it relates to, and then discusses practical responses and steps to try between sessions.
What is his professional background?
He holds an LCSW and has 42 years of clinical experience in a mix of private practice and organizational settings.
Where is he based and licensed?
He practices in New Jersey and holds LCSW credentials in New York and New Jersey.
Are sessions offered in other languages?
Sessions are offered in English.
Can international clients work with him?
He accepts international clients.
What formats are used for sessions?
The original biography does not specify session formats; please confirm current session options before booking.
How do I begin working with him?
Select the See online therapy options button, complete a short matching questionnaire, and schedule a first session. Sessions use a subscription that can be canceled at any time and cost varies with location.
Online talk therapy is not emergency care. If you are in danger or thinking about harming yourself, use the crisis numbers.